Organization
AJP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J BARONOFSKY (PTA)
(215) 708-1200
Entity
Organization
Contact information
Practice address
8410 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2012
(215) 708-1200
Mailing address
8410 ROOSEVELT BLVD, PHILADELPHIA, PA 19152-2012
(215) 708-1200
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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